Briefing on eHR Content Problem & Procedure By Maggie LAU - - PowerPoint PPT Presentation

Briefing on eHR Content – Problem & Procedure

By Maggie LAU Health Informatician, eHRISO

Agenda Agenda

• Problem
• Procedure
• Hong Kong Clinical Terminology Table

(HKCTT) (HKCTT)

PROBLEM

Problem Problem

• Can be

– diagnosis, – pathophysiological state – significant abnormal physical sign and examination finding – social issue – risk factor – allergy – allergy – reactions to food or drugs – health alert

• Problem list includes all active and inactive significant

health and social problems

• No free text data or data in pdf will be accepted for this

domain

Mindmap Mindmap – – Problem (Simplified Version) Problem (Simplified Version)

Mindmap Mindmap – – Problem (Full Version) Problem (Full Version)

• For healthcare providers using specific templates, such as

Clinical Data Framework (CDF), in which extra identifiers are required to differentiate the captured data.

Example for Problem Example for Problem – – Level 2 Level 2

Example for Problem Example for Problem – – Level 3 Level 3

eHR Viewer eHR Viewer -

• Problem

Problem

Related Tables for Problem

• Data schema

– Full version – Simplified version

• Codex

– Data Group – Diagnosis Status – Recognised Terminology Name - Problem Name - Problem

Data Schema – Problem Simplified Version

Codex – Data Group

Codex – Diagnosis Status

Codex – Recognised Terminology Name (Problem)

PROCEDURE

Procedure Procedure

• It includes any significant procedures that are

performed for diagnostic, exploratory or treatment purposes.

• No free text data or data in pdf will be

accepted for this domain

Mindmap Mindmap – – Procedure (Simplified Version) Procedure (Simplified Version)

Mindmap Mindmap – – Procedure (Full Version) Procedure (Full Version)

• For healthcare providers using specific templates, such as

Clinical Data Framework (CDF), in which extra identifiers are required to differentiate the captured data.

Example for Procedure Example for Procedure – – Level 2 Level 2

Example for Procedure Example for Procedure – – Level 3 Level 3

eHR Viewer eHR Viewer -

• Procedure

Procedure

Related Tables for Procedure

• Data schema

– Full version – Simplified version

• Codex

– Data Group – Recognised Terminology Name - Procedure

Data Schema – Procedure Simplified Version

Codex – Data Group

Codex – Recognised Terminology Name (Procedure)

HONG KONG CLINICAL TERMINOLOGY TABLE (HKCTT)

Recognised Recognised Terminologies in Terminologies in eHR eHR

• Compendium of Pharmaceutical Products
• Hong Kong Clinical Terminology Table (HKCTT)
• International Classification of Diseases, 10th Revision (ICD 10)
• International Classification for Primary Care, 2nd Edition (ICPC2)
• International Classification for Primary Care, 2nd Edition (ICPC2)
• Logical Observations, Identifiers Names and Codes (LOINC)
• Systematized Nomenclature of Medicine, Clinical Terms

(SNOMED CT)

ICD 9 CM ICD 10

Hospital Authority Hospital Authority Clinical Vocabulary Table (HACVT) Clinical Vocabulary Table (HACVT)

Procedure Diagnosis Lab. Lab. Lab. Lab. Lab. Laboratory Drug

ICPC2 ICD 10

Building HKCTT Building HKCTT

Procedure Diagnosis SNOMED CT

Compendium of Pharm Products

Others Laboratory Drug

SNOMED CT

Compendium

• f Pharma

ICPC2 ICD 10

Drug Procedure Diagnosis

HKCTT

HKCTT HKCTT

eHR Secondary Use

CT

• f Pharma

Products

Others Laboratory Drug

eHR

Clinical Data Repository

3 ways to Adopt HKCTT 3 ways to Adopt HKCTT

HKCTT App HKCTT Offline HKCTT Core Serving On-ramp / Adaptation Provider’s system All HCPs HKCTT Content Y Y Y

(view + download)

Terminology Engine Y Y Search Panel Y

HK Clinical HK Clinical Terminology Terminology Table (HKCTT) Table (HKCTT)

Adoption of Health Information Standard Adoption of Health Information Standard

eHR IS Office eHR IS Office

Local Local

Mapped Local Mapped Local T Terminology erminology HKCTT HKCTT

2 3 3 Local Local Terminology Terminology

Recognised Recognised Terminology Terminology

3

THANK YOU